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[《精神障碍诊断与统计手册》第5版人格功能半结构化访谈德语版(STiP - 5.1)的心理测量评估]

[Psychometric Evaluation of the German Version of the Semi-Structured Interview for Personality Functioning DSM-5 (STiP-5.1)].

作者信息

Zettl Max, Taubner Svenja, Hutsebaut Joost, Volkert Jana

机构信息

Institut für Psychosoziale Prävention, UniversitätsKlinikum Heidelberg.

Psychotherapeutisch Centrum De Viersprong, Kenniscentrum Persoonlijkheidsstoornissen, Halsteren, Netherlands.

出版信息

Psychother Psychosom Med Psychol. 2019 Dec;69(12):499-504. doi: 10.1055/a-1010-6887. Epub 2019 Sep 26.

Abstract

BACKGROUND

The alternative model for personality disorders of the DSM-5 introduced an evidence-based, dimensional concept for the diagnosis of personality disorders. Criterion A, operationalized with the Level of Personality Functioning Scale, differentiates different levels of impairments in personality functioning. The Semi-Structured Interview for Personality Functioning DSM-5 (STiP-5.1) is a valid, reliable, and economic interview for the assessment of Criterion A. However, to date, there is no validated form of the interview in the German language. The aim of this study is the psychometric evaluation of the German version of the STiP-5.1.

METHODS

The validity and reliability of the STiP-5.1 was investigated in a sample of healthy adults (n=55) and inpatients diagnosed with a mental disorder (n=55). Construct validity was evaluated by correlations with questionnaires for the assessment of structural impairment (IPO-16, OPD-SQS), and maladaptive personality traits (SCID-II-PQ). Interrater reliability was investigated in a sub-sample of healthy individuals and inpatients (n=50).

RESULTS

With regard to validity, high correlations (r=0.68-0.78) between STiP-5.1- ratings and convergent self-report questionnaires were found. The sub-sample showed good interrater reliability (ICC=0.93). Interviews took 38 min. on average.

CONCLUSIONS

The German version of the STiP-5.1 provides a valid, reliable and economic interview procedure for the dimensional assessment of personality functioning for research and clinical practice.

摘要

背景

《精神疾病诊断与统计手册》第五版(DSM - 5)中人格障碍的替代模型引入了基于证据的人格障碍维度诊断概念。A标准通过人格功能水平量表进行操作化,区分人格功能损害的不同程度。《DSM - 5人格功能半结构化访谈》(STiP - 5.1)是评估A标准的有效、可靠且经济的访谈工具。然而,迄今为止,尚无经过验证的德语版访谈形式。本研究的目的是对STiP - 5.1德语版进行心理测量学评估。

方法

在健康成年人样本(n = 55)和被诊断患有精神障碍的住院患者样本(n = 55)中调查STiP - 5.1的有效性和可靠性。通过与评估结构损害的问卷(IPO - 16,OPD - SQS)以及适应不良人格特质问卷(SCID - II - PQ)的相关性来评估结构效度。在健康个体和住院患者的子样本(n = 50)中调查评分者间信度。

结果

在效度方面,发现STiP - 5.1评分与收敛性自陈问卷之间存在高度相关性(r = 0.68 - 0.78)。子样本显示出良好的评分者间信度(ICC = 0.93)。访谈平均耗时38分钟。

结论

STiP - 5.1德语版为研究和临床实践中人格功能的维度评估提供了一种有效、可靠且经济的访谈程序。

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